Cincinnati, OH

Woods Edge Rehab And Nursing

2-star overall rating with 1-star inspections with 13 recent health deficiencies with 14 fire-safety deficiencies in the latest cycle

1171 Towne Street, Cincinnati, OH

(513) 242-1360

Compare this facility

Overall

2 / 5

CMS overall stars

Health inspections

1 / 5

Survey and complaint cycles

Staffing

2 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

93

Certified beds

Average residents

80

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

2001-01-03

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Changed ownership

No

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.34

Registered nurse staffing · state 0.63 · national 0.68

LPN hours / resident day

0.96

Licensed practical nurse staffing · state 0.96 · national 0.87

Aide hours / resident day

2.26

Nurse aide staffing · state 2.14 · national 2.35

Total nurse hours

3.55

All reported nurse hours · state 3.72 · national 3.89

Licensed hours

1.30

RN + LPN hours · state 1.59 · national 1.54

Weekend hours

3.19

Weekend nurse staffing · state 3.29 · national 3.43

Weekend RN hours

0.19

Weekend registered nurse coverage · state 0.41 · national 0.47

Physical therapist

0.02

Reported PT staffing · state 0.05 · national 0.07

Adjusted RN hours

0.35

CMS adjusted RN staffing hours

Adjusted total hours

3.71

CMS adjusted total nurse staffing hours

Case-mix index

1.31

Higher values indicate more complex resident acuity

RN turnover

57%

Annual RN turnover · state 47% · national 45%

Total nurse turnover

58%

Annual nurse turnover · state 50% · national 46%

SNF VBP

Value-based purchasing

Program rank

10,548

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

19.98

Composite VBP score used to determine payment impact.

Payment multiplier

0.9823

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Healthcare-associated infections

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Total nurse turnover

3.35

Baseline 38.71% · Performance 50.00% · Measure score 3.35 · Achievement 3.35 · Improvement 0

Adjusted total nurse staffing

0.65

Baseline 3.22 hours · Performance 3.26 hours · Measure score 0.65 · Achievement 0.65 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission Not Available
10.72%
Not Available · Eligible stays 14 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Discharge to community Not Available
50.57%
Not Available · Eligible stays 12 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Medicare spending per beneficiary Not Available
1.02
Too few residents or stays to report publicly.
Drug regimen review with follow-up Not Available
95.27%
Numerator Not Available · Denominator 12 · Too few residents or stays to report publicly.
Falls with major injury Not Available
0.77%
Numerator Not Available · Denominator 12 · Too few residents or stays to report publicly.
Discharge self-care score Not Available
53.69%
Numerator Not Available · Denominator 8 · Too few residents or stays to report publicly.
Discharge mobility score Not Available
50.94%
Numerator Not Available · Denominator 8 · Too few residents or stays to report publicly.
Pressure ulcers or injuries, new or worsened Not Available
2.29%
Numerator Not Available · Denominator 12 · Adjusted rate Not Available · Too few residents or stays to report publicly.
Healthcare-associated infections requiring hospitalization Not Available
7.12%
Not Available · Eligible stays 8 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Staff COVID-19 vaccination coverage 0%
8.2%
8.2 pts worse
Numerator 0 · Denominator 123
Staff flu vaccination coverage 4.58%
42%
37.4 pts worse
Numerator 6 · Denominator 131
Discharge function score Not Available
56.45%
Numerator Not Available · Denominator 8 · Too few residents or stays to report publicly.
Transfer of health information to provider Not Available
95.95%
Numerator Not Available · Denominator 5 · Too few residents or stays to report publicly.
Transfer of health information to patient Not Available
96.28%
Numerator Not Available · Denominator Not Available · Newly certified or not enough cases to report.
Resident COVID-19 vaccinations up to date Not Available
25.2%
Numerator Not Available · Denominator 5 · Too few residents or stays to report publicly.

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 89.1%
92.4%
3.3 pts worse
93.4%
4.3 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 89.5% · Q2 91.8% · Q3 96.3% · Q4 78.5% · 4Q avg 89.1%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 96.7%
94.5%
2.2 pts better
95.5%
1.2 pts better
Long Stay · 2024Q3-2025Q2 · 4Q avg 96.7%
Percentage of long-stay residents experiencing one or more falls with major injury 1.8%
3.3%
1.5 pts better
3.3%
1.5 pts better
Long Stay · 2024Q4-2025Q3 · Q1 3.5% · Q2 1.2% · Q3 1.2% · Q4 1.3% · 4Q avg 1.8% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms 44.1%
26.1%
18 pts worse
11.4%
32.7 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 41.0% · Q2 46.2% · Q3 45.7% · Q4 43.5% · 4Q avg 44.1%
Percentage of long-stay residents who lose too much weight 3.0%
6.2%
3.2 pts better
5.4%
2.4 pts better
Long Stay · 2024Q4-2025Q3 · Q1 2.4% · Q2 1.3% · Q3 3.9% · Q4 4.2% · 4Q avg 3.0%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 18.1%
25.4%
7.3 pts better
19.6%
1.5 pts better
Long Stay · 2024Q4-2025Q3 · Q1 16.9% · Q2 15.6% · Q3 18.4% · Q4 21.9% · 4Q avg 18.1%
Percentage of long-stay residents who received an antipsychotic medication 25.4%
11.5%
13.9 pts worse
16.7%
8.7 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 19.4% · Q2 20.7% · Q3 26.7% · Q4 34.4% · 4Q avg 25.4% · Used in QM five-star
Percentage of long-stay residents who were physically restrained 0.0%
0.1%
0.1 pts better
0.1%
0.1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened 1.3%
7.7%
6.4 pts better
16.3%
15 pts better
Long Stay · 2024Q4-2025Q3 · Q1 3.0% · Q2 0.0% · Q3 2.3% · Q4 0.0% · 4Q avg 1.3% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased 1.7%
6.2%
4.5 pts better
14.9%
13.2 pts better
Long Stay · 2024Q4-2025Q3 · Q1 1.3% · Q2 1.4% · Q3 2.7% · Q4 1.5% · 4Q avg 1.7% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.0%
0.2%
0.2 pts better
1.0%
1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection 0.0%
0.5%
0.5 pts better
1.7%
1.7 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 21.1%
21.7%
0.6 pts better
19.8%
1.3 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 17.1% · Q2 32.2% · Q3 26.1% · Q4 8.0% · 4Q avg 21.1%
Percentage of long-stay residents with pressure ulcers 3.1%
3.7%
0.6 pts better
5.1%
2 pts better
Long Stay · 2024Q4-2025Q3 · Q1 1.4% · Q2 2.9% · Q3 3.3% · Q4 4.9% · 4Q avg 3.1% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 51.9%
78.1%
26.2 pts worse
81.7%
29.8 pts worse
Short Stay · 2024Q4-2025Q3 · Q4 28.0% · 4Q avg 51.9%
Percentage of short-stay residents who newly received an antipsychotic medication 0.0%
1.2%
1.2 pts better
1.6%
1.6 pts better
Short Stay · 2024Q4-2025Q3 · 4Q avg 0.0% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2023-02-09 · Fire 2023-02-09

13 health deficiencies

Top issue: Quality of Life and Care (4 deficiencies)

14 fire-safety deficiencies

Top issue: Egress (5 deficiencies)

Cycle 2 Health 2019-06-13 · Fire 2019-06-13

22 health deficiencies

Top issue: Nutrition and Dietary (5 deficiencies)

18 fire-safety deficiencies

Top issue: Emergency Preparedness (10 deficiencies)

Cycle 3 Health 2018-05-17 · Fire 2018-05-17

17 health deficiencies

Top issue: Resident Rights (8 deficiencies)

10 fire-safety deficiencies

Top issue: Smoke (4 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2024-09-11

E13 · Emergency Preparedness Deficiencies

Fire Safety

Develop Emergency Preparedness policies and procedures.

Corrected 2024-12-02

F · Potential for more than minimal harm 2024-09-11

E15 · Emergency Preparedness Deficiencies

Fire Safety

Address subsistence needs for staff and patients.

Corrected 2024-12-02

F · Potential for more than minimal harm 2024-09-11

E18 · Emergency Preparedness Deficiencies

Fire Safety

Establish procedures for tracking staff and patients during an emergency.

Corrected 2024-12-02

F · Potential for more than minimal harm 2024-09-11

E23 · Emergency Preparedness Deficiencies

Fire Safety

Establish policies and procedures for medical documentation.

Corrected 2024-12-02

F · Potential for more than minimal harm 2024-09-11

E25 · Emergency Preparedness Deficiencies

Fire Safety

Create arrangements with other facilities to receive patients.

Corrected 2024-12-02

F · Potential for more than minimal harm 2024-09-11

E32 · Emergency Preparedness Deficiencies

Fire Safety

Provide primary/alternate means for communication.

Corrected 2024-12-02

F · Potential for more than minimal harm 2024-09-11

E36 · Emergency Preparedness Deficiencies

Fire Safety

Establish emergency prep training and testing.

Corrected 2024-12-02

F · Potential for more than minimal harm 2024-09-11

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2024-12-02

F · Potential for more than minimal harm 2024-09-11

E4 · Emergency Preparedness Deficiencies

Fire Safety

Develop and maintain an Emergency Preparedness Program (EP).

Corrected 2024-12-02

F · Potential for more than minimal harm 2024-09-11

E6 · Emergency Preparedness Deficiencies

Fire Safety

Conduct risk assessment and an All-Hazards approach.

Corrected 2024-12-02

F · Potential for more than minimal harm 2024-09-11

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-12-02

F · Potential for more than minimal harm 2024-09-11

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2024-12-02

F · Potential for more than minimal harm 2023-02-09

K222 · Egress Deficiencies

Fire Safety

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Corrected 2023-03-30

F · Potential for more than minimal harm 2023-02-09

K291 · Egress Deficiencies

Fire Safety

Install emergency lighting that can last at least 1 1/2 hours.

Corrected 2023-03-30

F · Potential for more than minimal harm 2023-02-09

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2023-03-30

F · Potential for more than minimal harm 2023-02-09

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-03-30

F · Potential for more than minimal harm 2023-02-09

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2023-03-30

F · Potential for more than minimal harm 2023-02-09

K761 · Miscellaneous Deficiencies

Fire Safety

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2023-03-30

F · Potential for more than minimal harm 2023-02-09

K914 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

Corrected 2023-03-30

F · Potential for more than minimal harm 2023-02-09

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2023-03-30

E · Potential for more than minimal harm 2023-02-09

K211 · Egress Deficiencies

Fire Safety

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2023-03-30

E · Potential for more than minimal harm 2023-02-09

K223 · Egress Deficiencies

Fire Safety

Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

Corrected 2023-03-30

E · Potential for more than minimal harm 2023-02-09

K281 · Egress Deficiencies

Fire Safety

Install proper backup exit lighting.

Corrected 2023-03-30

E · Potential for more than minimal harm 2023-02-09

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2023-03-30

E · Potential for more than minimal harm 2023-02-09

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2023-03-30

C · Minimal harm 2023-02-09

E6 · Emergency Preparedness Deficiencies

Fire Safety

Conduct risk assessment and an All-Hazards approach.

Corrected 2023-03-30

F · Potential for more than minimal harm 2019-06-13

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2019-08-02

F · Potential for more than minimal harm 2019-06-13

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2019-08-02

F · Potential for more than minimal harm 2019-06-13

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2019-08-02

F · Potential for more than minimal harm 2019-06-13

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2019-08-02

F · Potential for more than minimal harm 2019-06-13

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2019-08-02

E · Potential for more than minimal harm 2019-06-13

K226 · Egress Deficiencies

Fire Safety

Have horizontal exits used in accordance with safety requirements.

Corrected 2019-08-02

F · Potential for more than minimal harm 2018-05-17

E37 · Emergency Preparedness Deficiencies

Fire Safety

Establish staff and initial training requirements.

Corrected 2018-07-06

F · Potential for more than minimal harm 2018-05-17

K914 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

Corrected 2018-07-06

E · Potential for more than minimal harm 2018-05-17

K222 · Egress Deficiencies

Fire Safety

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Corrected 2018-07-06

E · Potential for more than minimal harm 2018-05-17

K281 · Egress Deficiencies

Fire Safety

Install proper backup exit lighting.

Corrected 2018-07-06

E · Potential for more than minimal harm 2018-05-17

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2018-07-06

E · Potential for more than minimal harm 2018-05-17

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2018-07-06

E · Potential for more than minimal harm 2018-05-17

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2018-07-06

E · Potential for more than minimal harm 2018-05-17

K374 · Smoke Deficiencies

Fire Safety

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Corrected 2018-07-06

E · Potential for more than minimal harm 2018-05-17

K912 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have power receptacles that are properly grounded.

Corrected 2018-07-06

E · Potential for more than minimal harm 2018-05-17

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2018-07-06

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-12-01

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2025-12-03

D · Potential for more than minimal harm 2025-12-01

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-12-03

J · Immediate jeopardy 2025-09-30

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2025-12-03

D · Potential for more than minimal harm 2025-09-30

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-12-03

D · Potential for more than minimal harm 2025-04-10

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2025-05-02

F · Potential for more than minimal harm 2025-03-20

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2025-05-02

E · Potential for more than minimal harm 2024-11-05

F803 · Nutrition and Dietary Deficiencies

Health

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

Corrected 2024-12-02

D · Potential for more than minimal harm 2024-11-05

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2024-12-02

F · Potential for more than minimal harm 2024-06-07

F803 · Nutrition and Dietary Deficiencies

Health

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

Corrected 2024-06-25

F · Potential for more than minimal harm 2024-06-07

F804 · Nutrition and Dietary Deficiencies

Health

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Corrected 2024-06-25

F · Potential for more than minimal harm 2024-06-07

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2024-06-25

D · Potential for more than minimal harm 2024-06-07

F557 · Resident Rights Deficiencies

Health

Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

Corrected 2024-06-25

D · Potential for more than minimal harm 2024-06-07

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2024-06-25

D · Potential for more than minimal harm 2024-06-07

F712 · Nursing and Physician Services Deficiencies

Health

Ensure that the resident and his/her doctor meet face-to-face at all required visits.

Corrected 2024-06-25

E · Potential for more than minimal harm 2024-03-26

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2024-04-17

D · Potential for more than minimal harm 2024-03-26

F921 · Environmental Deficiencies

Health

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Corrected 2024-04-17

B · Minimal harm 2023-11-08

F729 · Nursing and Physician Services Deficiencies

Health

Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining.

Corrected 2023-12-01

D · Potential for more than minimal harm 2023-08-11

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2023-08-31

F · Potential for more than minimal harm 2023-06-23

F727 · Nursing and Physician Services Deficiencies

Health

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

Corrected 2023-07-12

D · Potential for more than minimal harm 2023-06-23

F558 · Resident Rights Deficiencies

Health

Reasonably accommodate the needs and preferences of each resident.

Corrected 2023-07-12

F · Potential for more than minimal harm 2023-02-09

F727 · Nursing and Physician Services Deficiencies

Health

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

Corrected 2023-03-30

F · Potential for more than minimal harm 2023-02-09

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2023-03-30

E · Potential for more than minimal harm 2023-02-09

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2023-03-30

D · Potential for more than minimal harm 2023-02-09

F582 · Resident Rights Deficiencies

Health

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Corrected 2023-03-30

D · Potential for more than minimal harm 2023-02-09

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2023-03-30

D · Potential for more than minimal harm 2023-02-09

F679 · Quality of Life and Care Deficiencies

Health

Provide activities to meet all resident's needs.

Corrected 2023-03-30

D · Potential for more than minimal harm 2023-02-09

F806 · Nutrition and Dietary Deficiencies

Health

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

Corrected 2023-03-30

E · Potential for more than minimal harm 2019-06-13

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2019-08-02

D · Potential for more than minimal harm 2019-06-13

F558 · Resident Rights Deficiencies

Health

Reasonably accommodate the needs and preferences of each resident.

Corrected 2019-08-02

D · Potential for more than minimal harm 2019-06-13

F567 · Resident Rights Deficiencies

Health

Honor the resident's right to manage his or her financial affairs.

Corrected 2019-08-02

D · Potential for more than minimal harm 2019-06-13

F578 · Resident Rights Deficiencies

Health

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Corrected 2019-08-02

D · Potential for more than minimal harm 2019-06-13

F623 · Resident Rights Deficiencies

Health

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Corrected 2019-08-02

D · Potential for more than minimal harm 2019-06-13

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2019-08-02

D · Potential for more than minimal harm 2019-06-13

F655 · Resident Assessment and Care Planning Deficiencies

Health

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Corrected 2019-08-02

D · Potential for more than minimal harm 2019-06-13

F657 · Resident Assessment and Care Planning Deficiencies

Health

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2019-08-02

D · Potential for more than minimal harm 2019-06-13

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2019-08-02

D · Potential for more than minimal harm 2019-06-13

F758 · Pharmacy Service Deficiencies

Health

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Corrected 2019-08-02

D · Potential for more than minimal harm 2019-06-13

F842 · Resident Assessment and Care Planning Deficiencies

Health

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2019-08-02

D · Potential for more than minimal harm 2019-06-13

F921 · Environmental Deficiencies

Health

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Corrected 2019-08-02

F · Potential for more than minimal harm 2018-05-17

F730 · Nursing and Physician Services Deficiencies

Health

Observe each nurse aide's job performance and give regular training.

Corrected 2018-07-06

E · Potential for more than minimal harm 2018-05-17

F569 · Resident Rights Deficiencies

Health

Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.

Corrected 2018-07-06

D · Potential for more than minimal harm 2018-05-17

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2018-07-06

D · Potential for more than minimal harm 2018-05-17

F567 · Resident Rights Deficiencies

Health

Honor the resident's right to manage his or her financial affairs.

Corrected 2018-07-06

D · Potential for more than minimal harm 2018-05-17

F568 · Resident Rights Deficiencies

Health

Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.

Corrected 2018-07-06

D · Potential for more than minimal harm 2018-05-17

F578 · Resident Rights Deficiencies

Health

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Corrected 2018-07-06

D · Potential for more than minimal harm 2018-05-17

F582 · Resident Rights Deficiencies

Health

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Corrected 2018-07-06

D · Potential for more than minimal harm 2018-05-17

F625 · Resident Rights Deficiencies

Health

Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

Corrected 2018-07-06

D · Potential for more than minimal harm 2018-05-17

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2018-07-06

D · Potential for more than minimal harm 2018-05-17

F657 · Resident Assessment and Care Planning Deficiencies

Health

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2018-07-06

D · Potential for more than minimal harm 2018-05-17

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2018-07-06

D · Potential for more than minimal harm 2018-05-17

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2018-07-06

C · Minimal harm 2018-05-17

F732 · Nursing and Physician Services Deficiencies

Health

Post nurse staffing information every day.

Corrected 2018-07-06

Penalties and ownership

What sits behind the stars

Ownership

Hcwe Holdings LLC

5% Or Greater Direct Ownership Interest · Organization

100% 2 facilities 2018-01-01
Brecher, Mendel

5% Or Greater Indirect Ownership Interest · Individual

28% 9 facilities 2018-01-01
Brecher, Libby

5% Or Greater Indirect Ownership Interest · Individual

25% 3 facilities 2018-01-01
Lichtman, Chana

5% Or Greater Indirect Ownership Interest · Individual

17% 7 facilities 2018-01-01
Lichtman, Sara

5% Or Greater Indirect Ownership Interest · Individual

15% 3 facilities 2018-01-01
Zimmerman, Jacob

5% Or Greater Indirect Ownership Interest · Individual

15% 7 facilities 2018-01-01
Brecher, Mendel

Corporate Officer · Individual

0% 9 facilities 2018-01-01
Flaten, Tabitha

W-2 Managing Employee · Individual

0% 1 facilities 2018-01-01
S & T Bank

5% Or Greater Security Interest · Organization

0% 7 facilities 2017-08-01
Squires, Susie

W-2 Managing Employee · Individual

0% 1 facilities 2018-01-01

Nearby options

Other facilities in reach

#1

Harmony Court Rehab And Nursing

Cincinnati, OH

2-star overall rating with 1-star inspections with abuse icon flag with $100,887 in total fines with 44 recent health deficiencies with 25 fire-safety deficiencies in the latest cycle

Overall
2 / 5
Health
1 / 5
Staffing
1 / 5
Fines
$100,887
#2

Norwood Towers Post-Acute

Cincinnati, OH

3-star overall rating with 3-star inspections with 9 recent health deficiencies with 20 fire-safety deficiencies in the latest cycle

Overall
3 / 5
Health
3 / 5
Staffing
1 / 5
Fines
$0
#3

Wellspring Health Center

Cincinnati, OH

2-star overall rating with 2-star inspections with $122,030 in total fines with 8 recent health deficiencies with 11 fire-safety deficiencies in the latest cycle

Overall
2 / 5
Health
2 / 5
Staffing
4 / 5
Fines
$122,030

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